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[Pressure] Centrals increasing; new to BiPap
#21
RE: Centrals increasing; new to BiPap
OK, Let's see if I have this straight.  

On the clinical settings panel, this is what the readings should be set to:

Present reading:

Max IPAP = 18.0  change to 12.0

Max EPAP = 11.0  change to 8.0

Pressure = 3.0     change to 1.0 or 0


I just want to be certain I'm understanding this correctly, so I don't set something wrong.  Everything else should remain the same.

Thanks!
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#22
RE: Centrals increasing; new to BiPap
That's correct. The higher pressures are a problem for people with CA, and you should experience some relief, at least based on what I've seen with other members I have worked with here. A few might chime in and verify. I can't say that we can coach a cure to central apena using a bilevel, but we might get a little closer to where you need to be.
Sleeprider
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INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
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#23
RE: Centrals increasing; new to BiPap
It would still be a good idea to post your chart here.
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#24
RE: Centrals increasing; new to BiPap
Correct Sleeprider. I know I'm over on ASV now, but with the BiPAP we had to tweak the settings downwards to avoid Centrals as a temporary fix for me. I'm thinking IPAP max was the most important one in my case, but it's been a few months time. Oldtimers kicked in so that's as best as I recall.

Dave
Dave

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INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEBSITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
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#25
RE: Centrals increasing; new to BiPap
Here's my problem, and my wife has a tech guy that has told her he'd help.  Somehow, when she downloaded Sleepyhead, the first day she was "messing" with it, the tabs at the top of the page stopped working.  So, right now, she can't even "quit" Sleepyhead, she has to shut down the computer to do that.  Otherwise, the directions are straight forward to post a screenshot.  

Today, she tried dumping the old "Sleepyhead" in the trash, deleting it, and then downloading it again.  According to her, when she downloaded the new program, the computer somehow remembered the old program, and the data was all there, including the inability to  access "File", "View", "Data" and "Help".  My wife says this happened when she looked at the data in "Overview" form;  it's like it's locked, somehow.  

If anyone has any ideas on what to do with Sleepyhead, holler away Smile
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#26
RE: Centrals increasing; new to BiPap
Thanks for the help on this.  I know that we asked what the diagnosis was when we picked up the machine, since we still haven't seen the doctor, and my wife asked about central sleep apnea specifically, since I never snored.  The technician told us the diagnosis was Obstructive Sleep Apnea and that there was no mention of central sleep apnea or mixed sleep apnea.  He did state that there were 53 events per hour, with 8 centrals.  Time will tell, I guess.
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#27
RE: Centrals increasing; new to BiPap
(10-31-2017, 03:35 PM)cdbeardie Wrote: Here's my problem, and my wife has a tech guy that has told her he'd help.  Somehow, when she downloaded Sleepyhead, the first day she was "messing" with it, the tabs at the top of the page stopped working.  So, right now, she can't even "quit" Sleepyhead, she has to shut down the computer to do that.  Otherwise, the directions are straight forward to post a screenshot.  

Today, she tried dumping the old "Sleepyhead" in the trash, deleting it, and then downloading it again.  According to her, when she downloaded the new program, the computer somehow remembered the old program, and the data was all there, including the inability to  access "File", "View", "Data" and "Help".  My wife says this happened when she looked at the data in "Overview" form;  it's like it's locked, somehow.  

If anyone has any ideas on what to do with Sleepyhead, holler away Smile

Start a new thread in the software board to get answers on fixing your problems with SleepyHead. You'll get answers from the Computer Nerds that hang out there.   Bigwink
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Advisory Members serve as an "Advisory Committee" to help shape Apnea Board's rules & policies.

Membership in the Advisory Members group does not imply medical expertise or qualification for advising Sleep Apnea patients concerning their treatment.



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#28
RE: Centrals increasing; new to BiPap
The user profiles are saved in My Documents/Sleepyheadxxx. The easiest way to nuke the old profile and settings is to rename that directory to something like OLD_Sleepyhead. Once you create a new profile and import data, every thing will work, but if any data is missing, there are ways to recover it from the OLD file.

Nerds indeed!
Sleeprider
Apnea Board Moderator
www.ApneaBoard.com

____________________________________________
Download OSCAR Software
Soft Cervical Collar
Optimizing Therapy
Organize your OSCAR Charts
Attaching Files
Mask Primer
How To Deal With Equipment Supplier


INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
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#29
RE: Centrals increasing; new to BiPap
Before you do anything drastic with SleepyHead,  just press the F12 F11 function button on your computer. It sounds like you have SleepyHead stuck in full screen mode.

You should get hold of your full sleep study report and post it here. Central apnea is somewhat uncommon and a lot of doctors and techs just regard all apnea as obstructive (this happened to me) . An awful lot of people waste an awful lot of time and money because of this inability to see beyond the more common diagnosis.

Based on what you've told us I can see an ASV machine in your future. You probably need to have a deep & meaningful discussion with your part time sleep doc to see if she is really up to the challenge of diagnosing and treating central /mixed apnea, and shepherding you through the insurance labyrinth.

Edit: It's the F11 key, not F12
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#30
RE: Centrals increasing; new to BiPap
(10-30-2017, 06:56 PM)cdbeardie Wrote: Well, I am certainly hoping that is not the case, as my heart ejection fraction is less than 50%, and I don't want a machine like the ASV to kill me?  I may just have to discontinue and take my chances.  I do feel better with the therapy, though, I must admit.  My wife has been working with my data on  Sleepyhead, and she noticed that the CA's do appear to coincide with massive mask leaks, which I still have a number of.  My Resmed machine gives me a smiley face, but Sleepyhead says my leaks are " horrible".  It's a puzzle, and I appreciate the support here!

It looks like an ASV won't be in your future, but you should be able to use a S/T (bilevel/bipap with back up breathing rate that will breathe for you when you get a CA) or possibly an avaps/ivaps if it can be justified. These will effectively treat CA if they can't be managed with your BPAP.
I would change doctors because someone new and one day a week wouldn't have the experience in complicated cases. Hopefully your insurance will cover some more sleep tests.
mask fit http://www.apneaboard.com/wiki/index.php...ask_Primer
For auto-cpap, from machine data or software. You can set the min pressure 1 or 2cm below 95%. Or clinicians commonly use the maximum or 95% pressure for fixed pressure CPAP, this can also be used for min pressure.
https://aasm.org/resources/practiceparam...rating.pdf
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